That is what their reference to "immunogenicity" means
Furthermore, it is associated with an increased risk of cardiovascular disease, which is the leading cause of death among affected patients (Rovin et al., 2024) and other complications include anemia, bone disease, and electrolyte imbalances
NAC supplements appear to improve dopamine function as well as alleviate symptoms such as tremors
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doi: 10.1016/j.endmts.2021.100110 152 ShahSB
"Posttranslational biosynthesis of the protein-derived cofactor tryptophan tryptophylquinone"